Individual
CALLISTA SMITH SIGALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
308 HARVARD ST SE, MINNEAPOLIS, MN 55455-0353
(612) 624-9600
Mailing address
308 HARVARD ST SE, MINNEAPOLIS, MN 55455-0353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2448288
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
10000828
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/25/2022
Last updated
01/05/2023
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